MR. JESUS AVITIA


Address: 2940 Inland Empire Blvd, Ontario, CA 91764-4898
Phone: 9094581350

MR. JESUS AVITIA (NPI# 1780159954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780159954
Entity Type Individual
Full Name MR. JESUS AVITIA
Credential CADC II
Practice Address 2940 Inland Empire Blvd
Ontario
CA 91764-4898
Practice Telephone 9094581350
Mailing Telephone 9094581350
Enumeration Date 2018-10-03
Last Update Date 2018-10-03
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 2940 INLAND EMPIRE BLVD
City ONTARIO
State CA
Zip Code 91764-4898

Providers in the same location

NPI Name Taxonomy Address Enumeration
1679619035 Lovelyn Cruz Santos Case Manager/Care Coordinator 2940 Inland Empire Blvd, Ontario, CA 91764-4898 2007-01-30
1457974479 Amber Lynn Scott Counselor 2940 Inland Empire Blvd, Ontario, CA 91764-4898 2020-05-26
1003447442 Noah Nguyen Peer Specialist 2940 Inland Empire Blvd, Ontario, CA 91764-4898 2020-02-03
1134764285 Vivien Naomi Limon Peer Specialist 2940 Inland Empire Blvd, Ontario, CA 91764-4898 2019-11-13
1194360248 Gerald Lee Wilson Peer Specialist 2940 Inland Empire Blvd, Ontario, CA 91764-4898 2019-11-13
1275176364 Nancy Romero Marriage & Family Therapist 2940 Inland Empire Blvd, Ontario, CA 91764-4898 2019-10-22
1548811615 Kristen Mungcal Case Manager/Care Coordinator 2940 Inland Empire Blvd, Ontario, CA 91764-4898 2019-09-20
1922655752 Matthew Eric Shamlin Marriage & Family Therapist 2940 Inland Empire Blvd, Ontario, CA 91764-4898 2019-08-26
1619536547 Charity Linnet Thomann Student in an Organized Health Care Education/Training Program 2940 Inland Empire Blvd, Ontario, CA 91764-4898 2019-06-13
1710441720 Adebukola Elizabeth Olusanya Registered Nurse 2940 Inland Empire Blvd, Ontario, CA 91764-4898 2019-01-23
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760096952 Jacqueline Iriart Behavior Technician 2930 Inland Empire Blvd St 100, Ontario, CA 91764 2020-09-03
1306459573 Loremari Samantha Mohr Assistant Behavior Analyst 4688 Ontario Mills Parkwar, Ontario, CA 91764 2020-08-28
1023629649 Yazmin Ramos Behavior Technician 4688 Ontario Mills Pwky, Ontario, CA 91764 2020-08-17
1184234999 Adoniram Morales Behavior Technician 4688 Ontatio Mills Parkway, Ontario, CA 91764 2020-08-06
1396395489 Enhanced Sleep Solutions Clinic/Center 2990 E. Inland Empire Blvd. #105, Antonio, CA 91764 2019-09-19
1013561588 Jaquelyn Herrera Behavior Technician 2151 E Convention Center Way Ste #103, Ontario, CA 91764 2019-08-01
1285287995 Ha Tran Tsai Dental Corporation Dentist 1361 East 4th Street, Ontario, CA 91764 2019-07-22
1346702974 Rocio Sandoval Behavior Technician 800 Ferrari Ln Ste 100, Ontario, CA 91764 2019-04-02
1275011678 Jquana Lucille Dowdy Behavior Technician 2903 Inland Empire Blvd, Suite 101, Ontario, CA 91764 2018-07-30
1063917458 Maria Veronica Heard Specialist/Technologist 740 E Princeton St, Ontario, CA 91764 2018-03-27
Find all providers in zip 91764

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669990768 Claudia Juarez Tapia Counselor 125 W F Street, Ontario, CA 91762 2017-09-08
1417489949 Kristopher Reyes Counselor 125 W F St Unit 101, Ontario, CA 91762-3201 2017-04-03
1326399510 Kevin V Chandler Counselor 1921 E Banyan St, Ontario, CA 91761-6405 2012-09-27
1376772673 Elizabeth Diane Roberts Counselor 747 N. Euclid Ave, Ontario, CA 91762-2878 2009-07-08
1154576650 Krystle Lasha Greely Counselor 1801 Excise Ave Ste 116, Ontario, CA 91761 2008-11-25
1962655456 Quan L Hancock Counselor 125 W F St Ste 101, Ontario, CA 91762-3262 2008-10-28
1144432162 Rena Cantu Counselor 316 East E Street, Ontario, CA 91764 2007-05-03
1184842122 Rosemary Yates Counselor 125 West F St, Ontario, CA 91762 2007-04-23
1457486573 Gilford C Hoel Counselor 30503 Opus Rd, Ontario, WI 54651-6537 2007-02-22
1871636233 Norman Croom Counselor 1647 Holt Blvd, Ontario, CA 91761-2107 2007-02-15
Find all providers in ONTARIO

Competitor

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City ONTARIO
Zip Code 91764

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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